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NCT06105814: COPEXNOR

Improved Diagnostics, Treatment and Follow-up of Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Not yet recruiting NA Last updated 30 October 2023
What this trial tests

NA trial testing Rapid diagnostics in Chronic Obstructive Pulmonary Disease Exacerbation in 200 participants. Not yet recruiting.

Timeline
1 January 2024
Primary endpoint
31 December 2025
31 December 2030

Quick facts

Lead sponsorVestre Viken Hospital Trust
PhaseNA
StatusNot yet recruiting
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposediagnostic
Enrollment200
Start date1 January 2024
Primary completion31 December 2025
Estimated completion31 December 2030

Drugs / interventions tested

Conditions studied

Sponsor

Vestre Viken Hospital Trust

Who can join

18 and older, any sex, with Chronic Obstructive Pulmonary Disease Exacerbation or Pneumonia. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Chronic obstructive pulmonary disease (COPD) is a chronic and often progressive pulmonary disease, where inflammation and recurrent infections are key pathophysiological contibutors in disease progression. Acute exacerbations of COPD (AECOPD) are often treated with antibiotics, even though only about 50% are caused by bacteria, and the evidence for benefit of empiric antibiotic treatment in AECOPD is conflicting. Microbiological sampling is often insufficient in the setting of AECOPD, and there is a lack of biomarkers distinguishing AECOPD caused by bacteria from those not caused by bacteria, leaving the clinician with few tools to guide the use of antibiotics. Overuse of antibiotics is the main driver of antimicrobial resistance (AMR), a major global public health threat, and obtaining the correct microbiological diagnose is important in guiding treatment of AECOPD. COPEXNOR seeks to examine which samples give the highest microbiological yield in AECOPD, comparing induced sputum to nasopharyngeal swabs. We will also compare conventional microbiological diagnostics to modern rapid molecular microbiological tests, to evaluate if faster microbiological diagnosis improves antibiotic stewardship. The study aims to define the microbiological etiology causing AECOPD in the Norwegian COPD-population, and examine the lung microbiome over time. COPEXNOR will explore biomarkers in sputum and blood that can be useful for differentiating patients who will benefit from antibiotic treatment from patients who will not.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other Vestre Viken Hospital Trust trials

Trials by the same sponsor.

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Data sources for this page

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